Let’s think about some of our most prized possessions for a moment: our cars. Whether you’re driving around in a Ferrari or a Ford, your car is probably very important to you! We wouldn’t put diesel fuel into a gas-powered engine and expect it to run well, right? If you are not fueling your body with whole foods such as fruits, vegetables, whole grains, healthy fats, lean proteins, beans and legumes, and adequate amounts of water you might be shorting yourself in the vitamin and mineral department. 

Vitamins and minerals, also known as micronutrients, are needed for all processes in the body from bone and tissue formation to the transmission of nerve impulses through the body. Your metabolism and ability to use food as energy are dependent on your body having enough of certain vitamins and minerals to act as catalysts for these millions of internal chemical reactions. Think of your body as one big science fair where all kinds of different reactions are happening all at once in all parts of your body all of the time — cool right?! 

Let’s go over some of our most in-demand vitamins and minerals:

1) Magnesium

Magnesium is the sixth most abundant element on Earth. It is necessary for over 300 biological processes within the human body, yet it’s one of the most common deficiencies affecting approximately 75% of Americans. Adult men need approximately 420 mg/day and women 320mg/day. What does this look like in a day of eating? 

• ½ cup all-bran cereal for breakfast with 1 banana = 126 mg
• 1 cup brown rice with ½ cup cooked frozen spinach and 4 oz salmon = 195 mg
• ½ cup cooked swiss chard with ½ cup chickpeas topped with ½ oz slivered almonds and 3 oz chicken = 263

 → DAILY TOTAL: 584 mg!

If you are focusing on eating a well-balanced diet rich in whole foods you are likely doing well in the magnesium department!

Magnesium is responsible for energy production inside each one of your 30 trillion cells. Responsibilities also include the synthesis of our own antioxidant production which prevents inflammation from building up within our bodies. Antioxidants also fight off cancer cells and prevent free radicals from doing damage to our DNA. Free radicals come from all kinds of places such as foods, environmental pollution, stress, etc. Magnesium is also needed for the structural integrity of bones, teeth, cell membranes, and chromosomes. Finally, cell signaling and cell migration can be affected by a lack of magnesium. 

Symptoms of deficiency include weak bones, muscle weakness, and spasms, gastrointestinal issues, cardiovascular issues such as irregular heartbeats and high blood pressure, migraines, and mental health conditions such as anxiety, depression, panic attacks, irritability, and difficulty concentrating.

Foods that are rich in magnesium: Green leafy vegetables, unrefined whole grains such as oats and barley, nuts, beans (navy, pinto, kidney, and garbanzo), seafood, and chocolate (yes, that’s right). 

Now Trending: If you’ve been on the famous TikTok app recently you might have seen the videos of people putting aesthetically pleasing green chlorophyll drops in their water. Green leafy vegetables contain chlorophyll. Chlorophyll is a pigment that allows plants and algae to trap light at specific wavelengths. At the center of this pigment is a magnesium molecule, hence why green leafy vegetables are such a great source of magnesium! Keep in mind that naturally occurring chlorophyll is fat-soluble, meaning that we can absorb and store it more efficiently. Naturally occurring chlorophyll is changed into a water-soluble form called chlorophyllin to make drops and supplements such as the ones in the videos. To do this, changes are made to the pigment. The magnesium at the center of the pigment is swapped for a copper atom. This is a semi-synthetic form with added sodium copper salts made from chlorophyll. So, what’s the verdict? Chlorophyll drops (AKA chlorophyllin) have some benefits such as they do still boast antioxidant properties. From a nutritionist’s standpoint — food first! With no tolerable upper limit, chlorophyllin drops are likely safe, but in most cases unnecessary. Keep in mind that there is a tolerable upper limit for copper and too much copper can cause issues within the liver. The benefits many people see from adding this to their regimen most likely come from simply drinking more water, not what’s in the water!

 Always consult your doctor before adding a new supplement, especially if you are pregnant or breastfeeding. 

2) Vitamin D

Vitamin D is one of the most underrated components of optimal physical and mental wellbeing. It’s no coincidence that each of the human body cells is equipped with a Vitamin D receptor (VDR) within the nucleus. Vitamin D plays an active role in managing healthy blood pressure, having a strong immune system, building and maintaining strong bones, proper functioning of the nervous system, healthy cell formation, and may even play a role in insulin secretion in humans, although the data is limited. 

Deficiency is common with approximately 1 billion people worldwide considered deficient while 50% of the population is Vitamin D insufficient. Deficiency is generally defined as levels less than 20ng/mL and insufficiency is less than 30ng/mL. Functional medicine doctors and practitioners prefer to see levels within the 50-70ng/mL range. These levels not only prevent disease but also promote wellness and longevity. 

A diet rich in foods such as wild-caught salmon, mackerel, sardines, eggs, and mushrooms will boast good amounts of Vitamin D. We can also synthesize Vitamin D from the sun. Getting enough sun to turn the skin a slight pink color is an indication that the body is making Vitamin D. The sunlight triggers the skin to produce prohormone Vitamin D and it is then sent to the liver to be turned into its active form where it can then be used throughout the body. 

Those with darker skin tones or those who are typically covered when in the sun are at an increased risk for Vitamin D deficiency. This is most commonly seen in those of African American, Latino, and Middle Eastern descent as well as the elderly population. When opting for a vitamin D supplement, look for a Vitamin D3 + K2 for the most bang for your buck! 

3) Selenium

Selenium is a mineral that is often overlooked as well when it comes to feeling your best. This mineral is responsible for the proper functioning of selenoproteins, which regulate antioxidant function, healthy sperm and reproduction, thyroid function, and muscle metabolism. When it comes to feeling your best, selenium is important as the enzyme that converts thyroid hormone T4 to T3 is a selenium-dependent enzyme. 

The thyroid gland is responsible for controlling the body’s metabolic rate, and poor thyroid function can manifest as low energy, weight gain, trouble losing weight, and temperature dysregulation. Those who are deficient are more likely to respond poorly to psychological stressors making this an important mineral for anyone with a high-stress life or anyone with anxiety or depression.

The deficiency of selenium can exacerbate iron and vitamin E deficiency, leading to even more symptoms such as inflammation, low energy, anemia, poor oxygen saturation, and more. Vitamin E and selenium work in complementary interaction with one another, meaning that high levels of one can mask a deficiency in the other. Eating a diet rich in both can ensure proper levels. Selenium is found in organ meats, seafood, grains, brazil nuts, and some plants. 

Brazil nuts definitely give you the most bang for your buck at 989% Daily Value for a serving of 6-8 nuts! Make it a daily habit to have 2-3 and you should be getting more than enough each day. 

Not sure what vitamins and minerals you might be deficient in? Contact us to run a full micronutrient panel and see where you might need a  supplement of vitamins to get you back to feeling your best!

References

Higdon, J., & Drake, V. J. (2012). An evidence-based approach to vitamins and minerals health benefits and intake recommendations. Stuttgart: Thieme.

Linus Pauling Institute. (2021) Chlorophyll and chlorophyllin. Retrieved from https://lpi.oregonstate.edu/mic/dietary-factors/phytochemicals/chlorophyll-chlorophyllin

Office of dietary supplements – selenium. (2021, March 6). Retrieved May 22, 2021, from https://ods.od.nih.gov/factsheets/Selenium-HealthProfessional/

Sizar O, Khare S, Goyal A, et al. Vitamin D Deficiency.

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The post Do Vitamins = Vitality? 3 Key Vitamins for Health appeared first on Specialized Therapy.

BPA: a chemical that plays a role in more than just plastic, but a hormone too!

By now, we’ve all heard about BPA, right? If not, you’re in the right place! In this article, you’ll learn about the history of BPA as a toxin, why it proposes a threat to you and your family’s health, and strategies on how to reduce your exposure.

BPA is an abbreviation for bisphenol A- a chemical used to make hard plastics that are used in many things, from plastic bottles to Tupperware containers to plastic toys to the lining of food and beverage cans. It’s even in thermal paper receipts! BPA permeates our industrialized world, food supply, and modern-day lifestyle.

BPA was first synthesized by chemists 130 years ago. It wasn’t until the 1930s that scientists discovered it had estrogen activity in the body (1). Upon this discovery, BPA was intended to be used as an estrogen replacement drug until a more potent synthetic hormone was invented (1). However, BPA didn’t go anywhere… it found its new role in the future of plastics (1). BPA was first used in the epoxy lining of cans, metal piping, adhesives for flooring and sealing teeth and eventually made its way into plastics in the late 1950s.

In 1958 the FDA passed the Federal Food, Drug, and Cosmetics Act in an attempt to regulate chemicals added to packaged foods. Since BPA was only thought to make its way into food and beverages through leaching of epoxy resin from the lining in cans and showed no indication of being harmful to humans, there was no regulation of BPA in our food supply until 1988.

In 1993 BPA’s estrogenic activity was brought back into the limelight. For the first time, it was proposed as a threat to human health as an endocrine disruptor, meaning it disrupts normal hormonal function, processing, and transmission in the body. Throughout the late 1990s and early 2000s plastic became a political battle with industry lobbyists trying their best to bury the evidence that BPA was, in fact, harmful to human health. By 2005 there were 115 studies on BPA exposure and 90% of them found dangerous health effects of BPA, especially in infants and children. Not surprisingly, the 10% of studies that didn’t find an effect were funded by the plastic industry (2). Major concerns were expressed regarding findings of impaired fetal prostate and mammary gland development, disruption of chromosome alignment in developing eggs, immune system impairment, as well as metabolic and neurological abnormalities (1,2).

Fast forward to 2008 and The Center for the Evaluation of Risks to Human Reproduction released a final report on BPA stating that “the possibility that bisphenol A may alter human development cannot be dismissed”, and that there is “some concern for the effects on the brain, behavior, and prostate gland in fetuses, infants, and children at current human exposure to BPA” (3). Following this report, six of the major baby bottle producers announced the removal of BPA from their products; and in 2012 the FDA finally banned the use of BPA in baby bottles, sippy cups, and epoxy resin in infant formula packaging (4).

However, this chemical is still present and allowed in teethers and children’s play toys. Despite the growing evidence that BPA is harmful in young children, the Toy Association still considers it safe and allows it to be in toys and game products (5).

Today, hundreds of research studies show a relationship between BPA and an increased risk for behavioral disorders like ADHD, anxiety, depression, and aggression in children (6,7).

What’s more, is that the BPA levels originally recognized as safe for human ingestion by the FDA may not be as safe as originally intended. BPA has shown to interact with and bind to thyroid hormone receptors and could play a role in autoimmune thyroid disease (8). Furthermore, BPA has shown to be an obesogenic toxin and is linked to diabetes, weight gain, heart disease, liver inflammation, cancer, and infertility. Disturbingly, a nationwide study found that 89% of individuals ages 6 years and older had detectable levels of BPA in their urine (9).

Here are some actions you can take to minimize your family’s and your own BPA exposure:

1. Only purchase baby toys, canned foods (soup, soda, sparkling water, beans, vegetable cans), and Tupperware containers that say “BPA-free” on the label.
2. Drink from a reusable stainless steel or glass water bottle instead of plastic ones (this is also better for the environment, so it’s a win-win).
3. Don’t microwave leftovers in plastic containers, BPA and other plasticizers (like phthalates) can leak into your food. Instead, transfer the contents to a glass or ceramic bowl or heat on a stovetop if possible.
4. Skip the receipt! This will do you and your cashier a favor for reducing toxic BPA (and its cousin BPS) exposure from thermal receipt paper. Simply touching receipts (also boarding passes, tickets) with your hands is enough to absorb it through the skin. Ask for an emailed or text receipt instead! If you need to handle a receipt, wash your hands with soap and water as soon as possible!

These are actions you can take to reduce your BPA exposure! If you have any questions on the impact this chemical has on you or your child’s health, click here and submit a question to our “Ask a Therapist” column and we can answer it in our next newsletter!

These are actions you can take to reduce your BPA exposure right now! If you have any questions on the impact this chemical has on you or your child’s health, click here and submit a question to our “Ask a Therapist” column and we can answer it in our next newsletter!

References:

1. Vogel SA. The politics of plastics: the making and unmaking of bisphenol a “safety”. Am J Public Health. 2009;99 Suppl 3(Suppl 3):S559-S566. doi:10.2105/AJPH.2008.159228
2. vom Saal FS, Hughes C. An extensive new literature concerning low-dose effects of bisphenol A shows the need for a new risk assessment. Environ Health Perspect. 2005;113(8):926-933. doi:10.1289/ehp.7713
3. Shelby MD. NTP-CERHR monograph on the potential human reproductive and developmental effects of bisphenol A. NTP CERHR MON. 2008;(22):.
4. https://www.fda.gov/food/food-additives-petitions/bisphenol-bpa-use-food-contact-application
5. https://www.toyassociation.org/PressRoom2/IndustryStatements/statement-on-bisphenol-a.aspx#:~:text=It%20has%20been%20specifically%20chosen,items%20has%20been%20phased%20out.
6. Li Y, Zhang H, Kuang H, et al. Relationship between bisphenol A exposure and attention-deficit/ hyperactivity disorder: A case-control study for primary school children in Guangzhou, China. Environ Pollut. 2018;235:141-149. doi:10.1016/j.envpol.2017.12.056
7. Ejaredar M, Lee Y, Roberts DJ, Sauve R, Dewey D. Bisphenol A exposure and children’s behavior: A systematic review. J Expo Sci Environ Epidemiol. 2017;27(2):175-183. doi:10.1038/jes.2016.8
8. Eschler DC, Hasham A, Tomer Y. Cutting edge: the etiology of autoimmune thyroid diseases. Clin Rev Allergy Immunol. 2011;41(2):190-197. doi:10.1007/s12016-010-8245-8
9. Lakind, J.S., and D.Q. Naiman. 2008. Bisphenol A (BPA) daily intakes in the United States: estimates from the 2003-2004 NHANES urinary BPA data. Journal of Exposure Science and Environmental Epidemiology 18 (6):608-15.

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Your child’s favorite breakfast cereal could contain toxic pesticides!

Did you know that oats, rice, and wheat are major but lesser-known, sources of toxic pesticides?

The USDA Dietary Guidelines for Americans recommends that at least half of our dietary intake of grains be from whole grains as a part of a healthy diet¹. However, less than 5% of Americans meet the recommended dietary intake for whole grains (≥ 3 oz/day)¹. Contrarily, over 95% of Americans meet the recommended dietary intake of refined grains (≤ 3 oz/day)¹ mostly in the form of packaged and processed foods (i.e., white bread, white rice, cereal, pasta, cookies, cakes, bagels, doughnuts, crackers, chips). Refined grains are stripped of their outer bran and germ layers during manufacturing- the parts of the grain that contain the majority of its nutrients (fiber, vitamins, and minerals)- leaving behind the nutrient-depleted endosperm. This process makes refined grains far less nutritious than whole grains.

The Standard American Diet is heavily laden with processed foods made up of refined grains, sugar, salt, and fat. This combination of nutrient-poor, calorically dense ingredients may be why processed food consumption has been linked to the obesity epidemic² and an increased risk for other non-communicable diseases like diabetes, cancer, heart disease, and depression³.

Despite the USDA’s attempts to shift American plates to contain more whole grains, there is still nationwide overconsumption of refined grains. Why? Perhaps it’s due to the addicting nature of processed foods? Or that refined grains are cheaper and more accessible than whole grains? Or maybe it comes down to an education issue with less than half of low-income adults able to correctly identify whole grains from refined grains⁴.

In any case, processed food consumption keeps the demand for grains high. So high that the government pays farmers extra to grow wheat, corn, soy, rice, and oats in order to keep up with the demands of the market². As a result, monocropping, or only growing one crop at a time without rotation, has become a popular agricultural practice². Monocropping requires heavy pesticide application to kill any unwanted weeds or insects that may potentially contaminate crops, resulting in a streamlining of harvests².

Cue RoundUp, the most widely used pesticide in U.S. agriculture with 1.1 billion pounds applied annually⁵. The active component of Roundup, glyphosate, targets the shikimate pathway of weeds, insects, and fungi, the pathway responsible for their growth, abolishing them on the spot. Glyphosate is a water-soluble chemical that has made its way into our soil, food, air, and water supply. In 2015, the World Health Organization classified glyphosate as a neurotoxin, teratogen (a substance that may cause birth defects), and a “probable human carcinogen”⁶. Despite this, the EPA states glyphosate as having low toxicity for humans⁷ and U.S. regulators allow an acceptable daily intake of 1.75 mg/kg of body weight per day compared to the European Union which only allows 0.3 mg/kg of body weight per day⁸.

Glyphosate is sprayed directly on wheat and oats before harvesting to kill the crop and dry it out sooner than if the plant were to have died naturally⁹. In 2018, the Environmental Working Group tested more than a dozen brands of wheat and oat-based cereal products and found most samples exceeded the upper limit of “safe” glyphosate levels set by the EPA⁹. This is of special concern for 1- to 2-year-old children since they’re smaller and tend to consume oat and wheat-based cereal products often. The worst offenders were Quaker Old-Fashioned Oats (930 ppb), Quaker Oats Dinosaur Eggs (700 ppb), Cheerios Toasted Whole Grain Oat Cereal (497 ppb), and Lucky Charms (400 ppb)⁹.

Glyphosate has also been linked to disruption of the gut microbiome, autism, ADHD, birth defects, celiac disease, diabetes, depression, cancer, Parkinson’s, Alzheimer’s, dementia, obesity, and leaky gut¹⁰.  This proposes the question, is it the consumption of ultra-processed foods contributing to the exponential rise in chronic, non-communicable disease? Or is it the presence of glyphosate on our grains and in our food supply that we are encouraged to eat as a part of a healthy diet?

Regardless, to limit your and your children’s exposure to glyphosate opt for organic options and skip the non-organic packaged wheat, corn, soy, and oat-based cereal and processed food products! This way you can avoid toxic pesticides.

For more information on Toxic Pesticides, please visit us at Specialized Therapy Associates or call 201-488-6678 to book an appointment.

Tune into our next newsletter for part 3 of “Raising awareness: the dangerous truth behind the toxins present in our food supply”.

References:

1. U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. 9th Edition. December 2020. Available at DietaryGuidelines.gov.
2. Franck C, Grandi SM, Eisenberg MJ. Agricultural subsidies and the American obesity epidemic. Am J Prev Med. 2013;45(3):327-333. doi:10.1016/j.amepre.2013.04.010
3. Lane MM, Davis JA, Beattie S, et al. Ultraprocessed food and chronic non-communicable diseases: A systematic review and meta-analysis of 43 observational studies
   [published online ahead of print, 2020 Nov 9]. Obes Rev. 2020;10.1111/obr.13146. doi:10.1111/obr.13146
4. Molika Chea, Amy R Mobley, Factors Associated with Identification and Consumption of Whole-Grain Foods in a Low-Income Population, Current Developments in Nutrition, Volume 3, Issue 7, July 2019, nzz064, https://doi.org/10.1093/cdn/nzz064
5. Atwood, Donald, and Paisley-Jones, Claire. “Pesticides Industry Sales and Usage: 2008-2012 Market Estimates.” Environmental Protection Agency, 2017. Retrieved May 29, 2019, from https://www.epa.gov/sites/production/files/2017-01/documents/pesticides-industry-sales-usage-2016_0.pdf
6. https://www.who.int/foodsafety/faq/en/
7. https://www.fda.gov/food/pesticides/questions-and-answers-glyphosate#:~:text=Has%20the%20EPA%20established%20tolerances,from%200.1%20to%20310%20ppm.
8. https://oehha.ca.gov/media/dockets/8594/10069-dave_murphy_food_democracy_now/fdn_glyphosate_foodtesting_report_p2016_002a_0.pdf

9. https://www.ewg.org/childrenshealth/glyphosateincereal/#.W3Q-B9hKjEY
10. https://www.fs.usda.gov/nfs/11558/www/nepa/102900_FSPLT3_4047514.pdf

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Have you been experiencing difficulty focusing, or been having difficulty with your motivation to do things you used to do or to plan for your future? These executive functioning skills are how our brains help us to set goals, create plans, and to carry out those plans. When we are experiencing a high level of stress, we hit a brick wall and all of those skills stop functioning properly.
With stress, an individual may feel overwhelmed and cannot make decisions, they may experience difficulty with organizing, planning, and getting started. An individual under extreme stress may lose interest in activities, have mood swings, and be unaware or deny poor decision-making.
To regain temporary focus, an individual might want to work on simple problem-solving strategies:
– First, they will need to identify what the problem is.
– Next, they can consider some alternatives and options and create a list of strategies to move forward.
– Next, they can create an effective plan by laying out the steps to that plan.
– Finally, they may consider creating the plan in writing and planning and initiating action for that plan.
Sometimes it is difficult to initiate these steps on your own and we can help guide you through that process. At Specialized Therapy Associates and Fx Med Centers, our therapists and specialists are trained to help guide individuals to carry out these goals and plans.
You may also be concerned about the way you are processing information, and at Specialized Therapy Associates we can evaluate the way you learn information for planning and processing potential. (What does she mean by processing potential?) Some of our evaluations include neuropsychological evaluations, ADHD evaluations, and dementia identification.
If you are interested in an evaluation, you can contact our offices at (201) 488-6678. All evaluations are being conducted virtually at this time.

Author: Jill Caruso, PsyD
Assistant Director, Specialized Therapy Associates
4 Forest Avenue, Paramus, NJ 07652
(201)488-6678

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The Food and Drug Administration and World Health Organization have classified heavy metals as toxic to human health because they interfere with normal physiologic function and cause an increased risk for cancer, dementia, neurotoxicity, kidney disease, liver disease, insomnia, emotional instability, depression, and in high enough doses, death (2,3,4).

Babies and children are even more susceptible to the dangerous health consequences of toxic heavy metal exposure because they are growing and developing at a rapid rate. Even low levels of toxic heavy metal exposure are linked to irreversible brain and developmental damage (1).  Research has shown that heavy metal exposure can cause a permanently reduced IQ and an increased risk for criminal and withdrawn behavior in children (1,5).

In November 2019, government officials requested internal documents from seven of the largest baby food and infant formula manufacturers in the U.S. based on studies that found high levels of toxic heavy metals in their finished products (6,7).

The brands under investigation included:

• Nurture, Inc. (makes Happy Family Organic and HappyBABY baby food)
• Beech-Nut Nutrition Company
• Hain Celestial Group (makes Earth’s Best Organic baby food)
• Gerber
• Campbell’s Soup (which makes Plum Organics baby food)
• Walmart (Parent’s choice)
• Sprout Foods, Inc. (Sprout Organic Foods)

Only four of the seven companies in question agreed to cooperate with the investigation (Nurture, Beech-Nut, Hain, Gerber) raising concern that the non-responders may have even higher levels of toxic heavy metals than their competitors.

All responding companies had arsenic, lead, and cadmium present in their baby food. Not all companies tested for mercury, but the ones that did had exceedingly high levels. On top of that, reports showed up to 91 times the arsenic level, 177 times the lead level, 69 times the cadmium level, and 5 times the mercury level allowed under existing regulations by the FDA and EPA.

How does something like this happen? Present-day industrialized food manufacturing processes raise the risk for heavy metal contamination in our food supply (including baby food!) through mechanical processing by means of heavy machinery or leakage from packaging materials (6).

What can you do to protect your child from heavy metal exposure in their baby food? Make your own! Making your own baby food is the best way to have control over your child’s exposure to heavy metals as well as know exactly what is going into their food from start to finish. Steaming fresh, organic fruits and vegetables (ex: apples, bananas, pears, peaches, sweet potatoes, carrots, peas) will retain nutrient quality and composition better than boiling. Puree cooked fruits and veggies with a small amount of water or breast milk until smooth and serve. Don’t add sugar, syrups, or artificial flavorings as these can be harmful to your child’s growth and development as well. Instead, try using cinnamon or mix in pureed sweeter fruits like apples or pears.

If you don’t have the time to make your baby’s food research baby food brands and infant formula that test for the presence of heavy metals, like Cerebelly.

Tune into our next newsletter for part 2 of “Raising awareness: the dangerous truth behind the toxins present in our food supply”.

Click here to sign up for the newsletter if you haven’t already!

1. https://oversight.house.gov/sites/democrats.oversight.house.gov/files/2021-02-04%20ECP%20Baby%20Food%20Staff%20Report.pdf
2. https://rarediseases.info.nih.gov/diseases/6577/heavy-metal-poisoning#ref_13375
3. Jan AT, Azam M, Siddiqui K, Ali A, Choi I, Haq QM. Heavy Metals and Human Health: Mechanistic Insight into Toxicity and Counter Defense System of Antioxidants. Int J Mol Sci. 2015;16(12):29592-29630. Published 2015 Dec 10. doi:10.3390/ijms161226183
4. https://www.fda.gov/food/chemicals-metals-pesticides-food/metals-and-your-food
5. Pan S, Lin L, Zeng F, et al. Effects of lead, cadmium, arsenic, and mercury co-exposure on children’s intelligence quotient in an industrialized area of southern China. Environ Pollut. 2018;235:47-54. doi:10.1016/j.envpol.2017.12.044
6. Vella C, Attard E. Consumption of Minerals, Toxic Metals and Hydroxymethylfurfural: Analysis of Infant Foods and Formulae. Toxics. 2019;7(2):33. Published 2019 Jun 8. doi:10.3390/toxics7020033
7. Gardener H, Bowen J, Callan SP. Lead and cadmium contamination in a large sample of United States infant formulas and baby foods. Sci Total Environ. 2019;651(Pt 1):822-827. doi:10.1016/j.scitotenv.2018.09.026

The post Toxic Heavy Metals in Baby Food – What To Do! first appeared on Specialized Therapy.

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This week is National Eating Disorder Awareness Week! Did you know that eating disorders are among the deadliest mental illnesses second only to opioid overdose? 10,200 deaths each year are the direct result of an eating disorder (1).

Some common myths surrounding eating disorders are:

1. “People who have eating disorders must be underweight”. Eating disorders look different for everybody and present themselves in many different ways. Less than 6% of people with eating disorders are actually diagnosed as being underweight (2). Just because someone doesn’t look physically sick, doesn’t mean they aren’t suffering.
2. “Only women can have eating disorders”. Men can have eating disorders, too, and the number of cases has increased in recent years. From 1999 to 2009 the number of men hospitalized for eating disorder-related causes increased by 53% (4). Males account for 25% of individuals with anorexia or bulimia eating disorders. Gay men represent almost half of men with eating disorders and are more likely to fast, vomit, or take laxatives or diet pills to control their weight (5).
3. “Eating disorders are a choice”. Eating disorders are serious mental illnesses, not lifestyle choices.

Click here to fill out our Eating Disorder Self-Assessment checklist.

If you feel like you or someone you know is suffering from an eating disorder, we are here to help! Our staff offers a unique holistic and integrative approach to eating disorder treatment using psychological therapy and a functional medicine approach to regain health.

Call 201-448-6678 to make an appointment or click here to enter your information and learn more about how our team can help!

By Taylor Groff, MS Functional Nutritionist

References:

1. Deloitte Access Economics. The Social and Economic Cost of Eating Disorders in the United States of America: A Report for the Strategic Training Initiative for the Prevention of Eating Disorders and the Academy for Eating Disorders.June 2020. Available at: https://www.hsph.harvard.edu/striped/report-economic-costs-of-eating-disorders/.
2. Arcelus, Jon et al. “Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies.” Archives of general psychiatry68,7 (2011): 724-31. https://doi.org/10.1001/archgenpsychiatry.2011.74
3. Zhao, Y., Encinosa, W. Update on Hospitalizations for Eating Disorders, 1999 to 2009. HCUP Statistical Brief #120. September 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb120.pdf
4. Hudson, J., Hiripi, E., Pope, H., & Kessler, R. (2007) “The prevalence and correlates of eating disorders in the national comorbidity survey replication.” Biological Psychiatry, 61, 348–358.
5. Eating Disorders in LGBTQ+ Populations. (2018, February 21). Retrieved February 22, 2021, from https://www.nationaleatingdisorders.org/learn/general-information/lgbtq

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Nourish Your Heart this Valentine’s Day with guidance from our team at Specialized Therapy Associates using our  Heart Healthy Eating Plan

With Valentine’s day right around the corner, it’s a perfect time to talk about nourishing your heart! What better way to nourish your heart than following a heart-healthy Mediterranean-style eating plan? Now, I know what you’re thinking… a Mediterranean diet? That’s old news! We’ve heard time and time again on the news, from our doctors, magazines, and media outlets that a Mediterranean diet has extraordinary health benefits. However, in a world flooded with diet culture propaganda, the Mediterranean diet has seemingly withstood the test of time and experts agree that the research on its cardiovascular benefits and disease prevention is indisputable!

Has anyone ever broken down the reasoning behind why the Mediterranean diet is best for long-term health? What exactly it consists of? Who exactly it benefits? How it lowers your risk of chronic disease? When in life you should follow it? And where you can find quality ingredients and easy recipes to make following it easier? Well, you’re in the right place for some evidence-based, research-backed answers! Read on to learn more about how a heart-healthy Mediterranean-style eating plan could benefit you and your loved ones this Valentine’s season, and always.

Why the Mediterranean diet? Research shows that following a Mediterranean-style eating plan significantly reduces your risk for heart disease¹, diabetes, cancer-related death, cardiovascular disease-related deaths, and death from any cause^1,2. A study published in the Journal of the American Medical Association, one of the most widely circulated medical journals in the world, found that eating more foods consistent with a Mediterranean-style was associated with a 28% reduced risk in cardiovascular events like heart attack and stroke³. The outcome was associated with less inflammation, better blood sugar levels, lower insulin resistance, and lower BMI^3,4.

What does it consist of? The Mediterranean diet includes healthy fats in the form of monounsaturated fats from olive oil, olives, nuts, seeds, avocados, and polyunsaturated omega-3 fats from fatty fish like salmon, sardines, herring, mackerel, and shellfish. The Mediterranean diet is rich in disease-fighting phytonutrients, or “plant nutrients”, and antioxidants from a diverse variety of fruits and vegetables, legumes, and whole grains.  It contains a moderate intake of dairy, chicken, cheese, and red wine, as well as very little intake of red meat and sweets, and little to no saturated fat, trans fat, and processed foods.

Who does the Mediterranean diet benefit? Although the Mediterranean diet is most well-known for its impact on disease prevention, it can benefit anybody regardless of age, race, sex, or gender.

Following a Mediterranean-style eating plan has also been shown to promote healthy aging. It has a beneficial effect on brain health and overall cognition⁶ by lowering the risk of Alzheimer’s disease and dementia⁷. In a Nurses’ Health Study, adherence to a Mediterranean diet resulted in a 46% higher chance of healthy aging, which was defined as being free from cancer, heart attack, coronary artery disease, congestive heart failure, stroke, diabetes, kidney disease, Parkinson’s, MS, and more⁸.

How does the Mediterranean diet lower your risk for chronic disease? One of the many ways a Mediterranean diet promotes longevity is by preserving telomere length⁹, the portion of our chromosomes that preserve DNA from damage when exposed to negative factors such as chronic inflammation, environmental toxins, or psychological stress.

Another way the Mediterranean diet protects against disease is through its emphasis on healthy fat intake. A study found that people at high risk for heart disease who went on a Mediterranean diet with ≥ 4 tbsp of extra virgin olive oil or nuts had a 30% lower risk for stroke after 5-years compared to those who followed a low-fat diet. This is because consuming olive oil and nuts is associated with improved HDL-C function, commonly referred to as the “good cholesterol” because it carries cholesterol away from arteries and back to the liver for excretion or re-use¹⁰. This lowers the risk of arterial blockage and promotes healthy blood flow, resulting in a reduced risk for heart attack and stroke.

Where can you find quality ingredients? The Mediterranean diet emphasizes eating a variety of plant foods to diversify your phytonutrient intake which gives your body a wide selection of disease-fighting nutrients! When optimizing the diversity of your plant food intake, it is best to consider purchasing whatever produce is in season. This way, you are sticking to the way our ancestors ate- whatever they could grow, which was dependent on the season.

For example, the wintertime is great for eating winter squash like acorn, butternut, pumpkin, delicata, kabocha, and spaghetti squash. Spring is a great time for asparagus, swiss chard, collard greens, apricots, mushrooms, onions, and artichokes. Summer is best for berries, corn, eggplant, watermelon, and peppers and Fall is best for apples, kale, carrots, celery, yams, pears, kale, and ginger. All of these foods are great ways to nourish your heart.

A great way to do this is to purchase from local farmers, farmer’s markets, or join your local Community Supported Agriculture program.

Finally, check out the Specialized Therapy Associates & FX Med Center Pinterest board for some healthy and delicious Mediterranean-inspired recipes!

If you wish to Nourish Your Heart further by improving your physical and mental health please call 201-488-6678 today to speak with our intake staff. Together we can nourish your heart, mind, and soul so you can live your best life!

References:

1. Fung TT, Rexrode KM, Mantzoros CS, Manson JE, Willett WC, Hu FB. Mediterranean diet and incidence of and mortality from coronary heart disease and stroke in women. Circulation. 2009 Mar 3;119(8):1093-100. doi: 10.1161/CIRCULATIONAHA.108.816736. Epub 2009 Feb 16. Erratum in: Circulation. 2009 Mar 31;119(12):e379. PMID: 19221219; PMCID: PMC2724471.
2. Lopez-Garcia E, Rodriguez-Artalejo F, Li TY, Fung TT, Li S, Willett WC, Rimm EB, Hu FB. The Mediterranean-style dietary plan and mortality among men and women with cardiovascular disease. Am J Clin Nutr. 2014 Jan;99(1):172-80. doi: 10.3945/ajcn.113.068106. Epub 2013 Oct 30. PMID: 24172306; PMCID: PMC3862454.
3. Ahmad S, Moorthy MV, Demler OV, et al. Assessment of Risk Factors and Biomarkers Associated With Risk of Cardiovascular Disease Among Women Consuming a Mediterranean Diet. JAMA Netw Open. 2018;1(8):e185708. doi:10.1001/jamanetworkopen.2018.5708
4. Shai I, Schwarzfuchs D, Henkin Y, Shahar DR, Witkow S, Greenberg I, Golan R, et al. Dietary Intervention Randomized Controlled Trial (DIRECT) Group. Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. N Engl J Med. 2008 Jul 17;359(3):229-41. doi: 10.1056/NEJMoa0708681. Erratum in: N Engl J Med. 2009 Dec 31;361(27):2681. PMID: 18635428.
5. De Lorgeril M, Salen P, Martin JL, Monjaud I, Delaye J, Mamelle N. Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction: final report of the Lyon Diet Heart Study. Circulation. 1999 Feb 16;99(6):779-85. doi: 10.1161/01.cir.99.6.779. PMID: 9989963.
6. Loughrey DG, Lavecchia S, Brennan S, Lawlor BA, Kelly ME. The Impact of the Mediterranean Diet on the Cognitive Functioning of Healthy Older Adults: A Systematic Review and Meta-Analysis. Adv Nutr. 2017 Jul 14;8(4):571-586. doi: 10.3945/an.117.015495. PMID: 28710144; PMCID: PMC5502874.
7. Aridi YS, Walker JL, Wright ORL. The Association between the Mediterranean Dietary Plan and Cognitive Health: A Systematic Review. Nutrients. 2017 Jun 28;9(7):674. doi: 10.3390/nu9070674. PMID: 28657600; PMCID: PMC5537789.
8. Samieri C, Sun Q, Townsend MK, Chiuve SE, Okereke OI, Willett WC, Stampfer M, Grodstein F. The association between dietary plans at midlife and health in aging: an observational study. Ann Intern Med. 2013 Nov 5;159(9):584-91. doi: 10.7326/0003-4819-159-9-201311050-00004. PMID: 24189593; PMCID: PMC4193807.
9. Crous-Bou M, Fung TT, Prescott J, Julin B, Du M, Sun Q, Rexrode KM, Hu FB, De Vivo I. Mediterranean diet and telomere length in Nurses’ Health Study: population-based cohort study. BMJ. 2014 Dec 2;349:g6674. doi: 10.1136/bmj.g6674. PMID: 25467028; PMCID: PMC4252824.
10. Hernáez Á, Castañer O, Elosua R, et al. Mediterranean Diet Improves High-Density Lipoprotein Function in High-Cardiovascular-Risk Individuals: A Randomized Controlled Trial. Circulation. 2017;135(7):633-643. doi:10.1161/CIRCULATIONAHA.116.023712

The post Nourish Your Heart this Valentine’s Day first appeared on Specialized Therapy.

The post Nourish Your Heart this Valentine’s Day appeared first on Specialized Therapy.

When we’re faced with unprecedented challenges, it causes us to lose motivation and retread back to our old ways, making it difficult to follow through on our resolutions year-round. A perfect example is this past year with the coronavirus pandemic, a challenge we’ve never faced before! As a collective, 2020 started off with the best of intentions, but unbeknownst to us- a global catastrophe stripped us from all inspiration and granted some of us permission to slip back into our old habits to find safety and comfortability during such an unprecedented time.

Nevertheless, New Year’s resolutions have the best of intentions, they’re a stimulus for growth, turning over a new leaf, leveling up to become a better version of ourselves. Despite naysayers that proclaim New Year’s resolutions are meant to be broken, there is evidence that shows resolutions have the potential to be a successful tool¹ as a new beginning, a chance to start over, an opportunity to embark on a new journey that supports overall physical and mental health and well-being.

Research has shown that New Year’s resolutions that are restriction and avoidance-oriented are far less successful than those that are approach-oriented¹. This is probably why dieting, weight loss, and detox programs are unsuccessful and tend to lead to rebound weight gain and a disordered relationship with food, diet, and exercise.

Instead, focus on making SMART goals this year! SMART goals are specific, measurable, action-oriented, realistic, and time-lined. SMART goals are designed for success by making small, approachable short-term goals instead of BIG, overwhelming end-stage goals. Tackling one small goal at a time builds confidence which is foundational for success.

Having trouble knowing where to begin? Here are some SMART goals that benefit everybody!

Lower your sugar intake:

Sugar is a naturally occurring energy source found in carbohydrates derived from fruits, vegetables, and whole grains. However, the sugar in our food supply today is much different than what it was over a hundred years ago. Since the early 20^th century, sugar consumption has increased dramatically due to the industrialization of food which has allowed sugar to be easily added to processed foods and beverages in its highly caloric, refined form. Now, refined sugar is ubiquitous in our food supply and is found in almost every packaged and processed food (i.e., cookies, cakes, pretzels, pies, pastries, cupcakes, muffins, crackers, chips, white bread) and convenience food (take-out, fast food, convenience store/gas station food). It’s also added to canned foods, bread, cereals, yogurts, and seemingly healthy granola bars and juices.

It is no coincidence that with the increase in sugar consumption from low-quality, nutrient-poor ultra-processed foods has come with an accompanying increase in chronic diseases like type 2 diabetes, obesity, depression, anxiety, IBS, metabolic syndrome, cancer, Alzheimer’s, non-alcoholic fatty liver disease, high blood pressure, heart disease², and the list goes on…

Sugar comes in many forms and goes by many different names. Artificial sweeteners are no better for our long-term metabolic health as an alternative to refined sugars. In fact, these stand-in sugar substitutes have actually proven to cause more harm than good by negatively altering insulin sensitivity and raising the risk for other health conditions like cancer³.

Some helpful tips for lowering your sugar intake:

1. Increase consumption of high-quality fats

Examples- extra virgin olive oil, avocado, avocado oil, grass-fed organic animal products (meat, dairy), ghee, raw nuts, and seeds.

2. Increase consumption of high-quality protein

Examples- organic, pasture-raised, non-GMO poultry and grass-fed beef; organic, non-GMO plant-based proteins like tofu, tempeh.

3. Increase consumption of fiber in the form of fruits, vegetables, whole grains, sprouted beans and legumes

Examples- berries, apples, pears, cherries, broccoli, cauliflower, leafy green vegetables, onions, and garlic; oats, quinoa, brown rice, teff; sprouted lentils

4. Decrease alcohol consumption

Do it the SMART way:

Small- Start with one or more of the above interventions and once you feel comfortable and confident doing that, add another.

Measurable- Keep a journal and write down how you feel eating less refined sugar and drinking less alcohol. At first, it may be a challenge- and that’s to be expected! Write down everything you’re feeling. Refer back to the journal when experiencing difficulties staying on course, this will remind you of the progress you’ve made, how far you’ve come, and inspire you to keep going.

Attainable- Make a grocery list of whole foods before going shopping and stick to the items on the list! For whole foods recipe inspiration, click here to explore our Specialized Therapy Associates Pinterest board!

Realistic- You don’t have to cut out all sugar at once unless otherwise directed by your doctor. Instead, focus on cutting out one or two major sources of refined sugar in your diet- like soda, sweetened beverages, fast food, or go-to snacks like chips, pretzels, or desserts. Then, after you successfully do so, proceed to cut out more and more sources of refined sugar and carbohydrates in your diet.

Time-line- Give yourself a few days to adjust to cutting out the major culprits of refined sugar in your diet. After you’ve successfully done so, remove more sources of refined sugar. Aim for complete removal of refined sugar in your diet and elimination of highly processed foods in a timeline of 3 to 6 months.

Increase physical activity & movement

There is no question that physical activity plays a major role in the status of our metabolic health. The sedentary lifestyle of Americans in the 21^st century has come with innumerable health consequences. We know that physical activity helps with weight maintenance and weight loss, increases insulin sensitivity, lowers our risk for heart attack and stroke, cancer, diabetes, cognitive decline, polycystic ovary syndrome, depression, anxiety, osteopenia, sarcopenia, and osteoporosis⁴. To date, we know that physical activity is one of the most critical means of disease prevention, and yet, we still struggle with making time for it in our fast-moving lifestyle.

Exercise, by definition, is planned, structured, and intentional movement with the objective of achieving a fitness-oriented goal or maintaining physical fitness⁵. For some, exercise can be an incredible outlet for stress and boosting mood and energy levels. If that’s you, great! Aim for achieving 30 to 60 minutes of light to moderate-intensity exercise in the form of aerobic exercise (i.e., brisk walking, jogging, cycling, Pilates) or strength training (weightlifting, kettlebell squats, dumbbell training, etc.) every day.

For others, structured exercise can be a daunting, mundane, and dreaded task that we force ourselves into with the hope of gaining some sort of health benefit. If that sounds more like you, you’re not alone! Regimented exercise is not the only kind of movement we benefit from.

We also benefit from physical activity, a different form of exercise because it can be either structured or unstructured and typically consists of activities you enjoy while still reaping the metabolic health benefits. Structured physical activity may look like walking, riding your biking, hiking, swimming, dancing, yoga, or rollerblading. Examples of unstructured physical activity consists of activities that coincide with daily living such as playing with your children, cleaning the house, gardening, folding laundry, grocery shopping, washing dishes, walking your kids to school, taking the stairs⁵, etc. These types of unstructured physical activity and movement add up and result in increased calorie expenditure which may lead to weight loss over time.

Note: Please consult your physician or health care practitioner before starting any new exercise regimen to ensure it is appropriate for you.

Here are some helpful tips for increasing your physical activity:

1. Take the stairs instead of the elevator.
2. Go for walks on your lunch break or take time to stretch in between meetings.
3. Have a dance party in the morning while you’re getting ready for your day.
4. Stand up while folding laundry or doing desk work.
5. Clean daily- washing windows, vacuuming, mopping.
6. Do some form of pushups, squats, jumping jacks, or walking in place while watching TV.

Do it the SMART way:

Small- If you’re not an exercise buff, start incorporating small bits of movement a few times a week and work yourself up to incorporating movement into your daily routine.

Measurable- Write down the exercise or structured/unstructured physical activity you do and use a tracking app like myfitnesspal to look up how many calories you’re burning while doing so and log it in a journal.

Attainable- If engaging in a structured exercise routine, start with light workouts 15-20 minutes a day, and gradually work your way up to longer time and intensity. If you’re trying to increase your daily movement, start with performing one of the abovementioned activities for 5-10 minutes when you have moments of downtime throughout the day.

Realistic- Don’t feel the need to make any drastic changes to your daily routine to incorporate rigorous exercise and physical activity. Start slow and gradually increase duration and intensity once your body adjusts. This will help avoid burnout.

Timeline- Aim for goals that are suitable for you and your lifestyle. There’s no rush to meet any fitness deadlines unless otherwise specified by a doctor, or yourself. Instead, focus on enjoying the movement you do incorporate into your routine to make sure its sustainable.

Note: Please consult your physician or health care practitioner before starting any new exercise regimen to ensure it is appropriate for you.

Be more mindful

Mindfulness is about paying attention in the present moment, on purpose, without judgment. Mindfulness means being able to bring direct, open-hearted awareness to what you are doing while you are doing it. Practicing mindfulness helps you tune into what is going on in your mind by bringing awareness to your thoughts and emotions as well as your body by paying attention to any internal or external physical sensations. Mindfulness can be practiced in a variety of ways- meditation, breathwork, walking in nature, exercise, physical activity and movement, cooking, eating, everyday tasks like laundry, cleaning, or even making your bed. There are countless moments throughout the day where one can practice mindfulness- ironically enough, you just have to pay attention to when those moments present themselves.

Mindfulness encourages curiosity and compassion for individuals and their environment. the evidence is clear that incorporating mindfulness into your lifestyle has a profound impact on our experience as human beings by tapping into a transcendental, restful state that beneficially alters our physiology thus improving quality of life. Practicing mindfulness has been linked to decreased anxiety, stress, depression, mood balance and regulation, emotional reactivity⁶ aging, improved immune function⁷, chronic pain management^8,9, and better sleep¹⁰

Tip for increasing mindfulness:

1. Go for a walk outside, pay attention to your surroundings. The way the air smells and feels on your skin, the sounds of the wildlife or cars passing by, the color of the foliage, how your feet make contact with the earth with every step.
2. Be present while eating by paying attention to the way food tastes, think about where it came from, the journey it took to make its way onto your plate, what senses its satisfying, the texture, smell, and sound it makes while chewing.
3. Practice mindful breathing. Take deep breaths and pay attention to how your belly rises and falls with each breath. Feel your chest expand with air and release entirely.

Mindfulness is a personal journey, there’s no right or wrong way of practicing it. Simply, try and pay attention to the routine motions of your life and practice gratitude for being alive rather than simply existing.

You can implement the abovementioned New Year’s resolutions by yourself, but research has shown that working in groups of people with the same or similar goals yields higher success rates and longer-lasting behavior change¹¹. Working in a group setting also provides a means of accountability and support when facing challenges to keep you on track with integrating new habits in order to reach your goals. Call 201-488-6678 to take advance of new groups Specialized Therapy Associated is offering this January!

Did you know we have a Board Certified Health and Wellness Coach on staff? If you would like personalized support and guidance on how to implement any of the above suggestions, please call Specialized Therapy Associates at 201-488-6678 to schedule your complimentary consultation. Our Health Coach, Anna Sandbank, LCSW, INHC, NBC-HWC will speak with you to learn more about your goals, and how she can support you to make them a reality in 2021.

By Taylor Groff, MS, Functional Nutritionist

About the Author:

Taylor Groff is a functional nutritionist that specializes in using evidence-based nutrition and food as medicine to treat the root cause of any illness- physical, emotional, and/or metabolic- that affects our ability to live a happy, healthy, and fulfilled life. Taylor helps move individuals into a state of optimal health by providing the tools and resources necessary to make informed health choices through teaching basic nutrition principles and providing personalized nutrition plans. Taylor focuses on the client as an individual with their own genetic uniqueness, health history, lifestyle, and cultural influences, and designs a food plan that is personal to them based on their health needs to ensure compliance for sustainable success.

Taylor has her M.S. in Human Nutrition and Functional Medicine from the University of Western States and her B.S. in Biological Sciences from Rowan University. She enjoys being outside in nature, going for hikes with her dog, and cooking healthy recipes. Taylor works alongside our Board Certified health coach, Anna Sandbank, designing personalized nutrition plans for clients.

References:

1. Oscarsson M, Carlbring P, Andersson G, Rozental A. A large-scale experiment on New Year’s resolutions: Approach-oriented goals are more successful than avoidance-oriented goals. PLoS One. 2020;15(12):e0234097. Published 2020 Dec 9. doi:10.1371/journal.pone.0234097
2. Stanhope KL. Sugar consumption, metabolic disease, and obesity: The state of the controversy. Crit Rev Clin Lab Sci. 2016;53(1):52-67. doi:10.3109/10408363.2015.1084990
3. Purohit V, Mishra S. The truth about artificial sweeteners – Are they good for diabetics?. Indian Heart J. 2018;70(1):197-199. doi:10.1016/j.ihj.2018.01.020
4. Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012;2(2):1143-1211. doi:10.1002/cphy.c110025
5. Ceria-Ulep CD, Tse AM, Serafica RC. Defining exercise in contrast to physical activity. Issues Ment Health Nurs. 2011;32(7):476-478. doi:10.3109/01612840.2010.525692
6. Keng SL, Smoski MJ, Robins CJ. Effects of mindfulness on psychological health: a review of empirical studies. Clin Psychol Rev. 2011;31(6):1041-1056. doi:10.1016/j.cpr.2011.04.006
7. Black DS, Slavich GM. Mindfulness meditation and the immune system: a systematic review of randomized controlled trials. Ann N Y Acad Sci. 2016;1373(1):13-24. doi:10.1111/nyas.12998
8. Hilton L, Hempel S, Ewing BA, et al. Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis. Ann Behav Med. 2017;51(2):199-213. doi:10.1007/s12160-016-9844-2
9. Banth S, Ardebil MD. Effectiveness of mindfulness meditation on pain and quality of life of patients with chronic low back pain. Int J Yoga. 2015;8(2):128-133. doi:10.4103/0973-6131.158476
10. Black DS, O’Reilly GA, Olmstead R, Breen EC, Irwin MR. Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Intern Med. 2015;175(4):494-501. doi:10.1001/jamainternmed.2014.8081
11. Paul-Ebhohimhen V, Avenell A. A systematic review of the effectiveness of group versus individual treatments for adult obesity. Obes Facts. 2009;2(1):17-24. doi:10.1159/000186144

The post Keeping New Year’s Resolutions first appeared on Specialized Therapy.

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In a cohort study recently published in Lancet Psychiatry, researchers set out to determine whether a COVID-19 diagnosis increased the risk of diagnosis with subsequent psychiatric illness (primarily anxiety, depression, dementia, and insomnia) in weeks shortly thereafter. Additionally, the researchers evaluated whether or not having a psychiatric illness increased the risk of contracting COVID-19. The results they found were astonishing.

There has been much concern over the lasting psychological sequelae as a result of contracting COVID-19. Until recently, the documented effects of coronavirus on mental health and on patients with mental illness have been limited. Several studies have investigated the impact of COVID-19 on mental health but only through anecdotal evidence via surveys and self-reported symptom questionnaires. To date, none have looked at official psychiatric diagnosis as a result of COVID-19 making this a novel study with clinically applicable findings.

The study used an electronic health record database from 54 health-care organizations across the United States and selected approximately 62,000 individuals diagnosed with COVID-19 between Jan 20, 2020 (date of first recorded COVID-19 case in the U.S.) and Aug 1, 2020, for the cohort. Of these cases, approximately 73% had no previous mental health diagnosis and were compared to control groups hospitalized for conditions independent of COVID-19 (i.e. influenza, other respiratory tract infections, skin infections, cholelithiasis, urolithiasis, and fracture). Confounding variables such as predisposing conditions and behavioral risk factors were accounted for and factored into the statistical analysis of the study results.

The primary outcome of this study, diagnosed with a psychiatric illness 14 to 90 days after being diagnosed with COVID-19, showed a 58% to 224% increased likelihood of the first-time diagnosis with a psychiatric illness compared to controls. Furthermore, the estimated probability of diagnosis with a psychiatric illness after COVID-19 was 5.8% after 90 days post-diagnosis with the most common diagnosis being anxiety disorders (adjustment disorder, generalized anxiety disorder, PTSD, and panic disorder) at 12.8% followed by mood disorders (9.9%).

Figure 1- Curves represent the onset of first psychiatric diagnosis 14 to 90 days after being diagnosed with COVID-19 compared to control groups diagnosed with other respiratory tract infections1.

Results indicated a low probability of psychotic disorder diagnosis in the 14 to 90 days after COVID-19 diagnosis (0.1%) similar to control groups without COVID-19 diagnosis. The rate of first or relapsed psychotic disorder was 0.9% which was significantly higher than controls. The probability of insomnia diagnosis was significantly higher in the COVID group than in control groups at 1.9% and the probability of being diagnosed with dementia in adults 65 years of age or older was 1.6%, more than double the control group. The probability of being diagnosed with any psychiatric illness in the 14 to 90 days after COVID-19 diagnosis was 18.1% compared to controls and those requiring in-patient admission for COVID-19 treatment were at a 40% higher risk of psychological sequelae.

Of note, the control group had higher rates of psychiatric sequelae when health events occurred on or after April 1, 2020, and the differences in outcome between control groups and COVID-19 diagnosed patients were less substantial. Nonetheless, the rate of psychiatric illness was still higher after contracting the coronavirus.

Furthermore, having a psychiatric disorder diagnosis in the year prior to the global pandemic was associated with a 65% increased risk of contracting COVID-19 and was highest in older patients. The results remained significant if it was the patient’s first psychiatric diagnosis, were diagnosed in the past 3 years, among patients whose race was known, no physical risk factors for COVID-19, and problems related to housing or economic circumstances. There was no major difference between the risk of the coronavirus when comparing psychiatric diagnoses against each other.

Based on these findings we can infer that patients diagnosed with COVID-19 have an increased risk for mental illness or symptoms of psychological sequelae in the weeks following coronavirus. It is difficult to say whether this is attributed to the impact of the virus directly or the psychological distress that comes with contracting an infection we still don’t know much about.  However, it is safe to assume that the coronavirus impacts mental health, and those already diagnosed with psychiatric illness are at an increased risk for contracting the virus.

If you would like more information about therapy treatment services, please contact Specialized Therapy Associates at (201)-488-6678 to make an appointment. You can also visit us online at Specialized Therapy.

 

By Taylor Groff, MS Functional Nutritionist

 

References:

1. Taquet, M., Luciano, S., Geddes, J.R., Harrison, P. (2020). Bidirectional associations between COVID-19 and psychiatric disorder: retrospective cohort studies of 62,354 COVID-19 cases in the USA. The Lancet Psychiatry. DOI:https://doi.org/10.1016/S2215-0366(20)30462-4.

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The post COVID-19 and Psychological Illness appeared first on Specialized Therapy.

The Coronavirus (COVID-19) has had an affect on the mental health of adults, children, and teenagers. Socialization with friends and peers has been limited because of the quarantine, causing many teenagers to feel isolated and withdrawn. Now that teenagers are returning to school, the affect of COVID-19 on their mental health is even more apparent. Many activities including sports have been postponed or cancelled. Students are unable to socialize with their friends at school due to safety precautions, and some schools remain all-virtual during this time.

Many of these changes can cause teenagers to appear sad, down, disappointed, and angry or irritable. If your teenager’s mood has changed, you may be wondering how to tell the difference between sadness and clinical depression. It is valid to  have concerns about your child’s mental health during this stressful time.

 Signs and Symptoms of Depression in Teens

1. Social isolation and withdrawal. Be aware if your teen has started to isolate from family, friends and peers.
2. Negative self-talk and self-criticism. Listen to what your teen is saying. If they are making negative self-statements such as “I’m a failure,” “Everything I do is wrong,” or “I’m useless,” this could be a sign of depression.
3. Hopeless self-talk. Similarly, be aware if your teen is making hopeless statements such as “What’s the point” or “I just can’t do this anymore.”
4. Academic changes or decline. Another sign of depression may be a decline in academic performance.
5. Physical complaints, such as headaches and stomachaches, can be connected to depression.
6. Increase in reckless behaviors, including substance use. Teenagers who struggle with mental health disorders may be more likely to self-medicate using substances or engaging in other impulsive behaviors.

Talking to Your Teen About Mental Health

1. Validate, Validate, Validate. It is important to let your teenager know that you can understand things have been hard. Let them know that if you were in their shoes, you might feel the same way. Express your love, care and concern.
2. Ask them how they are feeling. Don’t make assumptions about what your observe. Encourage your teen to use ‘feeling words’ such as  ‘sad,’ ‘mad’ or ‘worried.’
3. Stick to the facts and be specific. Let your child know what symptoms and behaviors concern you. Ask them if they have noticed the same concerns. You can also ask them what they think about a particular concern (i.e. ‘I noticed your grade went from an A to a C, what do you think is going on there?’).
4. Let your child know that you want to speak to them, and choose a day and time together. This can allow them to feel they are participating in the conversation, and can also help them feel more prepared for a conversation.

 Getting Help and Support

Helping your teenager get help and support can be an important part of showing your care for them. Teenagers may want to speak to an objective person about their problems, such as a therapist or counselor. You can explore support services at your teenager’s school, such as school counselors or a Student Assistance Counselor (SAC). It can be very helpful to find a therapist for your child to speak to as well. Keep in mind that if you have safety concerns for your child, or if they are making statements about self-harm or suicide, then it is recommended for you to bring your child to a local emergency room to keep them safe.

PerformCare NJ offers a list of treatment resources and support resources for youth, parents and caregivers. You can visit their website here: PerformCare NJ Resources

The New Jersey Hopeline is a 24/7, confidential peer support and suicide prevention hotline. Hotline specialists can provide youth and family with resources and referrals for additional help during a challenging time. The phone number is 1-855-654-6735.

2nd Floor Youth Helpline is a 24/7 helpline available to youth ages 10-24, to provide support and to help come up with solutions to problems. 2nd Floor can be reached by phone or text message at 1-888-222-2222.

If you would like more information about therapy treatment services for your teenager, or for family therapy, please contact Specialized Therapy Associates at (201)-488-6678 to make an appointment. You can also visit us online at Specialized Therapy.

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The post Mental Health and COVID-19: How to Talk to Teens About it appeared first on Specialized Therapy.