Depression is becoming more and more of an issue. And more and more young people are depressed, according to this article here:
Some depressed people have been in psychotherapy for years or even decades. The absence of a resolution of the depression symptoms suggests that there may be a brain-based reason for the depression. Younger people may not have been depressed as long, but the same analysis can be used to figure out what are the best treatment options.
Depression and the brain
More and more studies and research are showing that particular areas of the brain are involved in depression. These include areas like the frontal lobe, which often shows asymmetry in function when viewed on a qEEG brainmap. Another area is the anterior cingulate.
I have the ability to look at these areas of the brain and determine if they may be contributing to your symptoms of depression.
When a patient comes and sees me for symptoms of depression, I first take a history of symptoms and what seems to have helped and not helped. If appropriate, we can record the brain to determine if there are dysregulated areas of the brain that can be linked to symptoms of depression.
The Depression discriminant
I utilize a program called Brain Dx that has in it a multivariate discriminant that essentially calculates the likelihood that a brain is that of a depressed person. It's not a stand alone tool for diagnosing depression. But if I'm trying to figure out if a person has a brain-based depression vs. a depression that would respond better to psychotherapy, the discriminant can really help. The discriminant helps further confirm that the symptoms of depression are brain-based and brain-based interventions are appropriate.
Neurofeedback for depression
If the brain is found to be abnormal in the areas of the brain related to symptoms of depression, Neurofeedback therapy can be used to re-train those areas of the brain. Let's say we learn that you have an excess of alpha wave activity in a certain area of your brain. We can downtrain (or inhibit) this activity by offering you "feedback" whenever your brainwave moves in the direction we want it to go. "Feedback" can come in the form of a noise (beep or click), music, visual images (i.e., movies) or a combination of any of the above. By reinforcing activity in the direction we want the brainwave to go, brain function changes. Over a series of sessions this change can become permanent and then no more training is needed.
Depression and inflammation
In Atlanta I had the opportunity to view a lecture given by Andrew Miller, MD, who has done extensive research in the relationship of depression to inflammation. In his studies he was actually able to take non-depressed people and give them inflammation that would make them depressed. He would then give a drug that would combat the inflammation and the person would stop being depressed. For some people, inflammation may be a component of their depression. I can order certain tests to determine if this may be the case.
Sometimes psychotherapy is the appropriate treatment
I had a patient years ago who came to me for Neurofeedback treatment for depression. We ran the brain mapping and his brain was one of the most normal brains I had ever seen! Going over the results, I asked him if anything else might have happened to him that he didn't tell me about in the initial history taking. That was when he told me he witnessed his father commit suicide. For this person, psychotherapy was indicated for treatment. His problem was psychologically based and not neurologically based.
How to get help
I have 11 years experience working with the brain using Neurofeedback for treatment of a wide variety of conditions including depression. You can schedule an appointment by calling the office at 727-509-3760 or emailing email@example.com or clicking on the schedule an appointment button above. It all starts with an initial consult to determine what treatment options are the best for you as an individual.
The sacroiliac joint: Part 2
In part 1 of my blog, I previously discussed how instability of the sacroiliac (SI) joint can cause all sorts of problems in the body. That blog entry talked about how the hypermobility of that joint can cause problems such as low back pain, neck pain, headaches, shoulder pain, TMJ problems, elbow pain, wrist pain, hip pain, knee pain, ankle pain… and the list goes on.
What if I told you there were actually 2 parts of the SI joint? The part I discussed previously IS NOT supposed to move. The part I am discussing in this blog entry is the part that IS supposed to move.
Part of the sacroiliac joint is a synovial joint. Synovial joints have synovial fluid in them, which allows them to move. Your knee, for example, has synovial fluid in it. So does the SI joint. Curiously, it is shaped like a boot and is sometimes called the "boot" portion.
Since the 1920's, chiropractors doing what I do, called Sacro-Occipital Technic® have been saying the SI joint moves. Conventional medical wisdom dismissed this, but science has now shown that the joint moves. 1
Why does the joint move?
One of the functions of the movement of the "boot" portion of the sacroiliac joint is to circulate cerebrospinal fluid (CSF) throughout the brain and spinal cord. The brain and spinal cord are surrounded by sheath called the dura mater and inside that is the CSF. Conventional wisdom used to teach that the CSF was simply padding for the brain and spinal cord. But recent science has confirmed what chiropractors and osteopaths have been saying for almost a century - that CSF is vital to the health of the nervous system and the rest of the body.
CSF brings nourishment to the brain and spinal cord. It also helps remove toxins from the brain and spinal cord. Picture your kitchen with no new fresh food in it and nobody taking out the garbage. Eww!
Now it has been shown that it has a relationship with the lymphatic system (which also removes waste from the body). And CSF has been found to have a relationship with the immune system. 2, 3, 4
Restriction of this part of the sacroiliac joint interferes with the ability of CSF to move throughout the body, which can interfere with the processes I just mentioned above.
Would you like to have a well nourished brain and spinal cord that removes toxins and interacts with the lymphatic and immune system effectively? Heck yes! That is something that I do for every one of my chiropractic patients.
The nervous system exerts a tremendous amount of influence on the rest of the body. Therefore, effects of CSF restriction are thought to be related to a variety of symptoms including:
A chiropractor fully trained in Sacro-Occipital Technic®, AKA SOT Methods®, looks at both parts of the SI joint to make sure they are working properly. This helps the body have the stability it needs to function properly and the motion necessary for CSF to be moved throughout the body. This works to ensure proper functioning of the nervous system to promote health.
SOT Methods® takes hundreds of hours of additional training beyond that of a basic chiropractic education required in school. This is a specialty I am proud to offer at my practice.
You can schedule an appointment to get your SI joint checked by clicking above or at the Tuttle Health, LLC Facebook page. Or you can call the office at 727-509-3760 or email firstname.lastname@example.org
1. The Sacroiliac Joint: a Review of Anatomy and Biomechanics with Clinical Implications. Harrison DE, Harrison DH, Troyanovich S. J Manipulative Physio Ther .1997.
2. Reassessing cerebrospinal fluid (CSF) hydrodynamics: A literature review presenting a novel hypothesis for CSF physiology. Chikly, B and Quaghebeur, J. Journal of Bodywork and Movement Therapies. 2013.
3. A Paravascular Pathway Facilitates CSF Flow Through the Brain Parenchyma and the Clearance of Interstitial Solutes, Including Amyloid β. Illif et. al. Science Translational Medicine. 2012.
4. Vascular, glial, and lymphatic immune gateways of the central nervous system. Engel B. et al. Acta Neuropatholigica. 2016.
I'm a Chiropractic Physician, Psychotherapist and researcher. I'm interested in helping people live their lives to their full potential. That could be simply without pain. Or it could be without more complicated physical or mental health problems. Or it could be getting help in making changes in their life so that they can achieve their dreams.