Nutrition, Mental Health, and Behavior Change: Rethinking the Current Model of Health PRESENTATION BY: LUKE MEIER MA, PLMHP, C.S.N. My Philosophy “The doctor of the future will no longer treat the human frame with drugs, but rather will cure and prevent disease with nutrition” - Thomas Edison Nutrition Defined Nutrition refers to the process of providing or obtaining the food necessary for health and growth. The branch of science that deals with nutrients and nutrition, particularly in humans. Overall, Nourishment What’s nutrition got to do with it? All processes in the body run based on the nutrients we consume. Nutrients found in whole food items are more bioavailable. Essential Nutrients needed for the body to maintain homeostasis. The brain is only as good as the food consumed. Entire purpose of the human body is to sustain life, by making poor lifestyle choices, then the homeostatic functioning cannot take place. Addiction, malnutrition, and mental health symptoms can all correlate. Where do we get this nourishment? Three main sources of calories aka energy for the body Carbohydrates Fats Proteins Carbohydrates A food substance that is used as a primary energy source for the body and mind. It is converted to glucose or stored in the muscle and liver tissue as glycogen. The speed at which this occurs depends on chemical structure. Simple carbohydrates- One or two sugars Converts to blood sugar easier Complex carbohydrates- Three or more sugars Takes longer to convert to blood sugar Sugar Refers here as sucrose or table sugar, increases insulin in blood stream to release rapidly Simple carbohydrate (easier to absorb) Lacks basic nutrients needed for digestion Causes insulin release=hormone dysregulation=mood disorder Refined, processed, cheap, stimulating Much like something else Fats A slow digesting energy source converted to free fatty acids that the body and mind can use once glycogen stores begin to run low. Saturated Unsaturated Trans-fat Saturated and Unsaturated Mental and physical health Slow digesting Sustained source of energy Helps maintain homeostasis Satisfying Why so important to Mental Health? Hint: the body needs it Hot Dog, Spinach leaves, Egg whites……Choose one! Trans Fats, Flours, Sugars, Various Chemicals Packaged food items Fast food items Candy, soda, sugary teas, fruit juices, yes, even fruit snacks Margarine If it comes in a package, has a nutrition label, or will not go bad in a few days, then rethink what the purpose of this food is High Fructose Corn Syrup (worse than sugar) Take place of nutrient dense food Proteins This food substance is used by the entire body and mind at the cellular level. Amino Acids Sustain blood sugars Neurotransmitters Serotonin Norepinephrine Contentment, satisfaction, overall definition of happiness, engaged interests Stress hormone, attention and responding actions, fight-or-flight response, directly increasing heart rate, reduce neuroinflammation Dopamine Helps control the brain's reward and pleasure centers, helps regulate movement and emotional responses, people with low dopamine activity may be more prone to addiction Eating for Success More attentive Improved retention Increase positive outlook Feel better Look better Increased Self esteem Allow clients to have knowledge they can then teach others See processed and sugary food as a reward, not as a necessity Less medication Just packing for a day at the park! Body in Balance Homeostasis All macro nutrients utilized in efficient system All micro nutrients used in balance with each other Even phytonutrients utilized to help break down and absorb nutrients in most efficient form The brain burns most of our daily caloric intake The regulation of bodily functions such as metabolism and sustaining life necessity consumes almost all energy consumed Supplements, too much of a good thing Imbalances aren’t just a deficiency Too much of one nutrient leaves the body imbalanced Certain nutrients balance each other: When one goes up, other needs to go up as well Liver and kidneys struggle Difficult to know contents Difficult to absorb Can be ineffective versus whole food sources Easy Right? Not without the proper nutrients can this happen! Out of Whack aka Substance Abuse What does happen when the body is out of whack? Anything Deficiencies occur Body unable to perform functions Illnesses arise Body breaks down Chronic fatigue/pain Mental illness Medication induced deficiency CRAVINGS!!! Mental Health Symptoms in Treatment Schizophrenia Depression Anxiety Bipolar Disorder Eating disorders PTSD Personality Disorders Others? Addiction What causes someone to use in the first place? Why continued use? Once physiologically craving substance, best method to help quit? Make these substances legal? Why the body craves? Think of a pizza Kind of like this! Pizza vs Drug Use Stimulation Rewarding to my brain Relaxing Nostalgic Maybe even hunger? Triggered? Pizza Vs. Drug Use Rewarding Stimulating Pleasurable Relaxing Bringing back old memories Emotional or feeling of agitation Withdrawal Mental Health and Substance Use Chicken or the egg Self-medication Maladaptive coping skill Symptom management Justifying Drug use imbalance vs natural imbalance by brain with mental health symptoms vs nutrient deficiencies Difference? How Nutrition Can Help Fulfill deficiencies Fulfill cravings Sustain homeostasis Specialize in and properly administer whole food sources rich in necessary nutrients for the body to not only live, but recover physically Improved cognitive ability Increased self esteem More control over life Knowledge Can assist in breakdown and absorption of medication The Old DSM-IV Axis I (Nutrients can assist in alleviating symptoms of major mental health) Axis II (Nutrients have also been shown to help with regulating emotions) Axis III (Physiologically the body can recover more efficiently with nutrient needs met) Axis IV (Many of these problems can be alleviated with preventative health measures or while in treatment help the person better handle stress) Axis V (GAF score increases significantly as mind and body feel better) Side effects? Give me a few reasons why not? MONEY! Other Side of the Coin Counselors Staff Directors CFOs Psychiatrist Psychologist MDs/GPs Peers Behavior Change Needed Counseling techniques to enforce belief in nutritional therapy Nutritional Therapist with own treatment plan Utilize CBT/DBT skills Positive reinforcement Nutrition education More accurate measurements Less interference with treatment More structure From A to B Reinforce the Facts Body needs nutrients Nutrients run the body as efficiently as possible Proper nutrition accounts for any deficiencies in body and mind Studies show correlation with mental health and nutrition Alleviate symptoms, increase likelihood of staying sober Assist with medication effectiveness Increase self esteem increase chances of setting and maintaining boundaries Education is empowering DOES NO HARM!! Conclusion Further research is needed on effects of nutrition and mental health Belief that this current model of treatment can change Better budget analysis to determine higher cost of food vs detrimental effects of poor eating/med management/low self esteem/medical issues Remember Heart Disease still kills more people than anything and what we choose to eat as either clinicians or clients has a direct effect on this The brain is built on what we consume. No essential nutrients= No essential functions= life interfering symptoms “ When we are no longer able to change a situation we are challenged to change ourselves VIKTOR E. FRANKL Thank You ”